HEALTH RISK ASSESSMENT DUE TO EMISSIONS FROM MEDICAL WASTE INCINERATOR IN MALAYSIA
DOI:
https://doi.org/10.11113/jt.v78.9574Keywords:
Medical waste, incineration, emission, risk assessment, health riskAbstract
In this research, health risk assessment due to the emission of pollutants from a medical waste incinerator located within industrial estate in the northern part of Malaysia was presented. The influence of pollutants emission in the vicinity of the incineration plant was the main concern in this research. The measured emissions of pollutants from the stacks of the studied plant that may pose risk to human health and the environment are compared against the acceptable limit as in the Environmental Quality (Clean Air) Regulation 2014. Next, the levels of pollutants in ambient air are assessed in comparison with the guideline established by the Malaysia Ambient Air Quality Guideline (MAAQG). The health risk assessment was then conducted by calculating the quantitative risk for non-carcinogenic and carcinogenic pollutants. The study reveals that the total cancer risk due to emission of carcinogenic pollutants from the incinerator is 1.84 x 10-5, which indicates risky circumstances as the calculated risk is higher than the benchmark of acceptable risk of 1 x10-6. Meanwhile the health risk calculated due to emission of non-carcinogenic pollutants ranges between 0.000286 and 0.1, indicating acceptable risk. The result shows that the non-carcinogenic pollutants emitted from the studied medical waste incinerator are within the acceptable exposure limits. However, for carcinogens, the released amounts may cause human health risk, and therefore demands for further attention to reduce the concentrations as low as reasonably practicable, at least in compliance with the established guidelines.Â
References
Lee, B., Ellenbecker, M.J., Moure-Ersaso, R. 2004. Alternatives for Treatment and Disposal Cost Reduction of Regulated Medical Wastes. Waste Management. 24: 143-151.
Khoa, N.T. 2005. Current Situation of Healthcare Waste Management in Vietnam and 3R Application. Department of Therapy, Hanoi.
Altin, S., Altin, A., Elevli, B., Cerit, O. 2003. Determination of Hospital Waste Composition and Disposal Methods: A Case Study. Polish Journal of Environmental Studies. 12(2): 251-255.
Liberti, L., Tursi, A., Costantino, N., Ferrara, L., Nuzzo, G. 1994. Optimization of Infectious Hospital Waste Management in Italy: Part 1 – Wastes Production and Characterization Study. Waste Management & Research. 12: 373-385.
U.S Environmental Protection Agency (EPA). 2003. Resource Conservation and Recovery Act (RCRA).
Connett, P. 1997. Medical Waste Incineration: Mismatch between Problem and Solution. The Ecologist Asia. 5(2):1-11.
Swedish-American Hospital Consumat Incinerator. 1986. Beling Consultants, Test Report for Swedish American Hospital Consumat Incinerator. Rockford, Illinois.
U.S. Environmental Protection Agency (EPA). 1996. Mercury study reports to Congress, volumes I to VII. EPA/452/R-96/001b .Washington, DC. [Online]. From http://www.epa.gov/mercury/report.htm. [Accessed on 25 December 2009].
National Research Council (NRC). 2000. Waste Incineration and Public Health. Washington DC: National Academy Press.
Omar, D., Nazli, S.N., Karuppannan, S. 2012. Clinic Waste Management in District Hospitals of Tumpat, Batu Pahat and Taiping. Procedia- Social and Behavioral Sciences. 68: 134-145.
Ambali, A.R., Bakar, A.N., Merican F.M. 2013. Environmental Policy in Malaysia: Biomedical Waste, Strategies and Issues. Journal of Administrative Science. 10(1): 1-17.
Hashim, J. H., Hashim, Z. 2010. Guidance Document on Health Impact Assessment (HIA) In Environmental Impact Assessment (EIA). Department of Environment (DOE) Malaysia.
National Academy of Sciences (NAS). 1996. Risk Assessment in the Federal Government: Managing the Process. Washington DC: National Academy Press.
Louvar, J. F., Louvar, B. D. 1998. Health and Environmental Risk Analysis: Fundamentals with Applications. Upper Saddle River: Prentice Hall.
DOE . 2009. Guidelines on the Handling and Management of Clinical Wastes in Malaysia (Third Edition 2009). [Online]. From http://www.doe.gov.my/files/u1/Management_Of_Clinical_Wastes_In_Malaysia_1.pdf. [Accessed on 25 December 2009].
U.S. Environmental Protection Agency (EPA). 2005. User’s Guide for the AMS/EPA Regulatory Model – AERMOD. Office of Air Quality Planning and Standards. Research Triangle Park , NC, EPA-454/B-03-001.
Lonati, G., Zanoni, F. 2012. Probabilistic Health Risk Assessment of Carcinogenic Emission from a MSW Gasification Plant. Environment International. 44: 80-91.
Sun, G.,Li, Z., Bi, X., Chen, Y., Lu, S. 2013. Distribution, Sources and Health Risk Assessment of Mercury in Kindergarten Dust. Atmospheric Environment. 73: 169-176.
Mari, M., Nadal, M., Schuhmacher, M., Domigo, J.L. 2009. Exposure to Heavy Metals and PCDD/Fs the Population Living in the Vicinity of a Hazardous Waste Landfill in Catalonia, Spain: Health Risk Assessment. Environment International. 35: 1034-1039.
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